| NPI | 1033559273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.007894) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180008951) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2021-03-06 |